Supporting Data-Frame Dynamics in AI-assisted Decision Making

High stakes decision-making often requires a continuous interplay between evolving evidence and shifting hypotheses, a dynamic that is not well supported by current AI decision support systems. In this paper, we introduce a mixed-initiative framework for AI assisted decision making that is grounded in the data-frame theory of sensemaking and the evaluative AI paradigm. Our approach enables both humans and AI to collaboratively construct, validate, and adapt hypotheses. We demonstrate our framework with an AI-assisted skin cancer diagnosis prototype that leverages a concept bottleneck model to facilitate interpretable interactions and dynamic updates to diagnostic hypotheses.

Revamping AI Models in Dermatology: Overcoming Critical Challenges for Enhanced Skin Lesion Diagnosis

The surge in developing deep learning models for diagnosing skin lesions through image analysis is notable, yet their clinical black faces challenges. Current dermatology AI models have limitations: limited number of possible diagnostic outputs, lack of real-world testing on uncommon skin lesions, inability to detect out-of-distribution images, and over-reliance on dermoscopic images. To address these, we present an All-In-One \textbf{H}ierarchical-\textbf{O}ut of Distribution-\textbf{C}linical Triage (HOT) model. For a clinical image, our model generates three outputs: a hierarchical prediction, an alert for out-of-distribution images, and a recommendation for dermoscopy if clinical image alone is insufficient for diagnosis. When the recommendation is pursued, it integrates both clinical and dermoscopic images to deliver final diagnosis. Extensive experiments on a representative cutaneous lesion dataset demonstrate the effectiveness and synergy of each component within our framework. Our versatile model provides valuable decision support for lesion diagnosis and sets a promising precedent for medical AI applications.